This study will explore how people with an implanted cardioverter defibrillator (ICD) feel
that dependence on this life-saving technology affects their health-related quality of life.
ICD therapy is an important treatment option for patients with serious recurrent abnormal
heart rhythms. Overall survival is significantly improved in high risk patients who receive
this therapy. This study will explore patients' perceptions of the impact of this device on
their health status and well being, and their physical, psychological and social
Patients 18 years of age or older who have an implanted cardioverter defibrillator may be
eligible for this study.
Participants will fill out a questionnaire booklet containing 170 questions about how they
feel about their health, including their concerns and stresses, feelings about dependency on
life-saving technology, and illness perception. There are also questions on demography,
such as age, marital status, employment, etc. The booklet may take up to 30 minutes to
Information obtained from this study may lead to a better understanding of how people feel
about their health after receiving an ICD and help patients and families adapt to living
with the device.
With the efficacy of implantable cardioverter defibrillator (ICD ) therapy well established,
the survival time of recipients of this technology must be interpreted more broadly. It is
important to better understand how ICD recipients perceive their dependence on this life
saving technology and how these perceptions influence their Health Related Quality of Life
(HRQL). The purpose of this cross sectional, predictive study is to test a causal model
that may explain the link between attitudes towards dependency on technology and HRQL in a
sample of adult ICD recipients. The hypothesized model consists of seven variables:
attitudes towards technology dependency; age; gender; illness history; illness
representation; symptom distress; and HRQL. Adult subjects (greater than 18 years) who have
received an ICD will be asked to participate. Subjects will complete a self-administered,
mailed questionnaire that includes five instruments: 1) The Medical Outcomes Short Form 36
Survey Version 1.0; 2) The Important Concerns and Distress Questionnaire; 3) The Illness
Perception Questionnaire; 4) The Dependency on Technology Scales; 5) Demographic
Questionnaire. The model will be tested statistically by use of Structural Equation
Modeling techniques. The definitive goal of this study is to develop a theoretically
meaningful and statistically well-fitting model that specifies how dependence on technology
influences HRQL. The hypothesis for this study is that the full structural equation model
fits data from the sample of adult ICD recipients.
Male or female adults (18 years of age or older).
Implantable cardioverter defibrillator.
Unable to read written English.